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Contact Information

GEM STATE FAMILY EYECARE, P.C.
3815 W STATE ST
BOISE, ID83703-5221
 Phone: 208-345-6886
 Fax: 208-345-6686
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Optometrist

152W00000X 41 Optometry
Indicates primary specialty

NPI Profile & details for GEM STATE FAMILY EYECARE, P.C.

NPI # 1154690923
LBN Legal business name GEM STATE FAMILY EYECARE, P.C.
Authorized official JENNIFER HOLMAN - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/22/2011
Last updated 12/22/2011 - About 14 years ago
Identifiers
ID License # ODP-100213
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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